नर्सिङ आधारभूत – Fundamentals of Nursing MCQ
नर्सिङ आधारभूत – अन्तर्राष्ट्रिय नर्सिङ
Fundamentals of Nursing · International Nursing (NCLEX-RN, DHA, HAAD) · ४११ प्रश्न
४११ प्रश्न उपलब्ध। मोड छान्नुहोस्:
नर्सिङ आधारभूत: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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A nurse is preparing to administer a subcutaneous injection. What is the MOST important consideration regarding the injection site selection?
सही उत्तर: ग) C) Avoiding areas with major blood vessels or nerves for patient comfort
Selecting a site with palpable subcutaneous tissue maximizes the space available for the medication to be absorbed into the bloodstream. While avoiding large blood vessels and nerves is important, palpable tissue is more crucial for effective absorption than simply choosing an accessible location. Options A & D are not primary considerations.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following nursing interventions is MOST important when assisting a client with dysphagia (difficulty swallowing) with oral feeding?
सही उत्तर: ख) B) Position the client in the upright position at 30-45 degrees before, during, and after eating
Maintaining an upright position reduces the risk of aspiration by decreasing pooling of secretions in the pharynx. Positioning the client at 30-45 degrees is crucial. Options A, C and D would increase the risk of aspiration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a client recovering from abdominal surgery. The surgical wound is draining serosanguinous fluid. Which of the following actions should the nurse take to promote optimal wound healing?
सही उत्तर: ख) B) Gently cleanse the wound with sterile saline solution and apply a thin layer of antibiotic ointment
Maintaining a moist wound environment promotes granulation tissue formation, which is essential for healing. Gentle cleansing with sterile saline and a thin layer of antibiotic ointment encourages this process. Option A involves dry dressing that would be detrimental to healing. Options C and D are inappropriate measures that could compromise the healing process.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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When administering intravenous fluids, a nurse observes redness, warmth, and swelling at the infusion site. What is the MOST appropriate nursing intervention?
सही उत्तर: ख) B) Apply a cold compress to the affected area and notify the physician immediately
This scenario describes signs and symptoms consistent with infiltration at the intravenous site. Applying a cold compress provides localized vasoconstriction to reduce edema and inflammation while immediately notifying the physician is crucial for further evaluation and potential intervention (such as discontinuing the infusion). Options A, C, and D are inappropriate responses that could worsen the situation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a newly admitted patient with pneumonia. Auscultation of the lungs reveals crackles primarily in the lower lobes. What does this finding MOST likely indicate?
सही उत्तर: ख) B) Fluid accumulation in the alveolar spaces
Crackles, or rales, during auscultation are typically heard when air is forced through fluid-filled airways. This most likely indicates fluid accumulation in the alveolar spaces, a common finding in pneumonia where inflammation causes edema. Options A, C, and D describe alternative physiological processes that do not align with the presence of crackles.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is teaching a client newly diagnosed with type 2 diabetes about foot care. Which instruction is MOST important for the client to understand? a) To wear sandals or flip-flops outdoors at all times. b) To inspect their feet daily for blisters, cuts, or sores and report any abnormalities immediately. c) To apply lotion liberally to their feet several times a day. d) To soak their feet in hot water before bed.
सही उत्तर: ख) To inspect their feet daily for blisters, cuts, or sores and report any abnormalities immediately.
Regular foot inspection (b) is paramount in preventing complications like ulcers, which are common in individuals with diabetes. Prompt reporting of any abnormalities is essential for timely treatment. The other options are either inappropriate or could potentially harm the client’s feet.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is preparing to administer intravenous fluids to a patient with severe dehydration. Which assessment finding should the nurse MOST closely monitor during fluid administration? a) The client’s ability to maintain eye contact. b) The rate of infusion and any signs of fluid overload (e.g., edema, crackles). c) The client’s preferred color of clothing. d) The presence or absence of visible veins.
सही उत्तर: ख) The rate of infusion and any signs of fluid overload (e.g., edema, crackles).
Monitoring the rate of infusion (b) and observing for signs of fluid overload is critical when administering fluids to a dehydrated patient. Fluid overload can lead to serious complications such as pulmonary edema and cardiac distress, which need immediate detection. “Eye contact” (a), clothing color (c), and vein visibility (d) are not relevant to assessing fluid administration.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following actions should a nurse prioritize when assisting a client with dysphagia (difficulty swallowing)? a) Encourage the client to drink large amounts of fluids to prevent dehydration. b) Offer thick liquids and pureed foods to reduce the risk of aspiration. c) Instruct the client to eat quickly to minimize the chance of choking. d) Allow the client to feed themselves using a spoon.
सही उत्तर: ख) Offer thick liquids and pureed foods to reduce the risk of aspiration.
The primary goal when assisting a dysphagic client is to prevent aspiration (entry of food/liquid into the lungs). Thick liquids and pureed foods accomplish this (b). Drinking large amounts can increase the risk, while rapid eating and self-feeding are inappropriate.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is assessing a client with heart failure who reports shortness of breath. Which assessment finding would MOST likely confirm the diagnosis? a) Crackles in both lung fields bilaterally. b) Decreased apical pulse rate of 68 bpm and regular rhythm. c) Peripheral edema extending to the lower legs. d) Elevated blood pressure of 160/95 mmHg.
सही उत्तर: ग) Peripheral edema extending to the lower legs.
Crackles (a) are indicative of fluid accumulation in the lungs, a common symptom of heart failure. While elevated BP can be present, peripheral edema (c) is more directly related to the failing heart's inability to pump effectively and reduce central venous pressure. A normal pulse rate (b) would not support the diagnosis of heart failure.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient recovering from abdominal surgery. The patient reports feeling nauseous and asks for something to settle their stomach. Which nursing action is MOST appropriate at this time? a) Administer antiemetic medication as prescribed. b) Encourage the patient to eat small, frequent meals of bland foods. c) Monitor the patient's vital signs closely. d) Provide a warm bath to relax the patient’s muscles.
सही उत्तर: ख) Encourage the patient to eat small, frequent meals of bland foods.
The most appropriate initial action is to encourage bland foods and small, frequent meals (b). This addresses the symptom of nausea by settling the stomach. Options a, c, and d are not the immediate priority for managing nausea after surgery.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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